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Correspondence and communication| Volume 65, ISSUE 5, P687-688, May 2012

The horizontal temporal ridge deformity in facelifting and its treatment

Published:October 24, 2011DOI:https://doi.org/10.1016/j.bjps.2011.10.006
The horizontal temporal ridge deformity in facelifting and its treatment
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      Facelifting has evolved from its skin-only origins to now fundamentally include the SMAS in some way. The current ‘less-is-more’ attitude predominates, driven by patients’ demands for ever-shorter down-time. Although seductive in their apparent simplicity, the attendant strong vertical vector of such techniques as the minimal access cranial suspension (MACS) lift
      • Tonnard P.
      • Verpaele A.
      • Monstrey S.
      • et al.
      Minimal access cranial suspension lift: a modified S-lift.
      Plast Reconstr Surg. 2002; 109: 2074-2086
      is not without its problems, which may include canthal crowding and sideburn elevation.
      • Mendelson B.C.
      Surgery of the superficial musculoaponeurotic system: principles of release, vectors, and fixation.
      Plast Reconstr Surg. 2001; 107: 1545-1552
      This has been conceded by the originators in their supplementary paper, which reported the need for pinch blepharoplasty of the lower lid to address the lateral orbital tissue excess in all of those in whom the 3rd, malar, suture was employed.
      • Verpaele A.
      • Tonnard P.
      • Gaia S.
      • Guerao F.P.
      • Pirayesh A.
      The third suture in MACS-lifting: making midface-lifting simple and safe.
      J Plast Reconstr Aesthet Surg. 2007; 60: 1287-1295
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      References

        • Tonnard P.
        • Verpaele A.
        • Monstrey S.
        • et al.
        Minimal access cranial suspension lift: a modified S-lift.
        Plast Reconstr Surg. 2002; 109: 2074-2086
        View in Article
        • Mendelson B.C.
        Surgery of the superficial musculoaponeurotic system: principles of release, vectors, and fixation.
        Plast Reconstr Surg. 2001; 107: 1545-1552
        View in Article
        • Verpaele A.
        • Tonnard P.
        • Gaia S.
        • Guerao F.P.
        • Pirayesh A.
        The third suture in MACS-lifting: making midface-lifting simple and safe.
        J Plast Reconstr Aesthet Surg. 2007; 60: 1287-1295
        View in Article
        • Ivy E.J.
        • Lorenc P.Z.
        • Aston S.J.
        Is there a difference? A prospective study comparing lateral and standard SMAS facelifts with extended SMAS and composite rhytidectomies.
        Plast Reconstr Surg. 1996; 98: 1135-1143
        View in Article
        • Hamra S.T.
        The zygorbicular dissection in composite rhytidectomy: An ideal midface plane.
        Plast Reconstr Surg. 1998; 102: 1646-1657
        View in Article

      Article info

      Publication history

      Published online: October 24, 2011

      Identification

      DOI: https://doi.org/10.1016/j.bjps.2011.10.006

      Copyright

      © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.

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